Kungenzeka ukuthi ubulokhu uzwa ukungakhululeki, ubuhlungu, noma enye inkinga ohlelweni lwakho lomchamo futhi uye waya kudokotela. Ngemuva kwalokho, udokotela kungenzeka ukuthi uthe udinga ukuhlola isimo sezitho zakho zangaphakathi, njengezinso zakho kanye ne-urethra. Namuhla, sizokhuluma ngokuhlolwa okukhethekile okwenziwa ngalezo zikhathi.
Kalula nje, iyini i-Retrograde Pyelogram?
Cabanga ukuthi ufuna ukuthola isithombe esicacile sengaphakathi lesistimu yakho yomchamo, okuyizinso zakho kanye namapayipi athwala umchamo ukusuka kuzo uye kwesinye (ama-ureter). Lokhu akubonakali ku-X-ray. Ngakho-ke, kulolu vivinyo, uketshezi olukhethekile olubizwa ngokuthi 'idayi' (i-contrast agent) lufakwa ku-urethra yakho, bese kuthathwa uchungechunge lwezithombe ze-X-ray. Idayi yenza isimo sesistimu yakho yomchamo futhi ingaphakathi layo livele ngokucacile ku-X-ray ngombala omhlophe.
Lokhu kubizwa ngokuthi "i-retrograde," ngoba ngokuvamile umchamo wehla usuka ezinso. Kodwa kulolu vivinyo, sithumela udayi kusukela phansi kuya phezulu, ngakolunye uhlangothi lomchamo. Yilokho igama elikushoyo. I-"pyelogram" isithombe esithathwe engxenyeni eyinhloko yezinso zakho lapho umchamo uqoqeka khona (i-renal pelvis).
Kalula nje, lokhu ukuhlolwa kwe-X-ray okukhethekile okufana 'nemephu' yezindlela zangaphakathi zesistimu yakho yomchamo.
Lokhu kuhluke kanjani ku-Intravenous Pyelogram (IVP)?
Kungenzeka ukuthi uke wezwa ngolunye uhlolo olufana nalolu, olubizwa ngokuthi i-Intravenous Pyelogram (IVP). Zombili zisebenzisa idayi ukuthatha izithombe zesistimu yomchamo. Umehluko omkhulu ukuthi idayi ifakwa kanjani emzimbeni.
- I-Intravenous Pyelogram (IVP): Lapha, idayi ifakwa emthanjeni ongalweni yakho . Idayi bese ihamba ngegazi lakho, ihlunge ngezinso zakho, bese ingena ohlelweni lwakho lomchamo ngaphambi kokuba ihlolwe nge-X-ray.
- I-Retrograde Pyelogram: Lapha, idayi ifakwa ngqo ku-ureter . Kusetshenziswa ithuluzi elikhethekile kulokhu.
Manje ungase uzibuze ukuthi kungani kunezindlela ezimbili. Isizathu esiyinhloko ukuthi abanye abantu bane-allergy kumadayi asetshenziswa kuma-X-ray. Ku-IVP, idayi ifakwa egazini, ngakho-ke kunethuba elikhulu lokungezwani komzimba. Kodwa-ke, ku-Retrograde Pyelogram, idayi ifakwa ngqo ku-urethra, ngakho-ke akunakwenzeka ukuthi ifakwe egazini. Ngakho-ke , ngisho nomuntu onenkinga yokungezwani komzimba namadayi angenza lokhu kuhlolwa ngokuphephile .
Kodwa-ke, okwamanje, i-CT scan (i-Computed Tomography) ivame ukwenziwa kunanoma yikuphi kwalokhu kuhlolwa. Kunganikeza izithombe ezicacile.
Yiziphi izizathu udokotela angakucela ukuthi wenze lolu vivinyo?
Udokotela wakho angase ancoma lokhu kuhlolwa ezimweni ezilandelayo:
- Uma usola ukuthi i-ureter yakho yonakele .
- Uma usola ukuthi kukhona ukuvaleka noma ukuncipha endaweni ethile e-urethra.
- Uma ufuna ukuhlola amatshe noma izimila ezinso, ema-ureter, noma esinyeni.
- Uma udinga ukufaka i-stent , ipayipi elincane eligcina ipayipi livulekile, lingene e-urethra, udinga isithombe esicacile.
- Uma ufuna ukubheka kahle ingaphakathi lesistimu yomchamo ngaphambi kokuthola olunye ukwelashwa, njenge- ureteroscopy .
Uzilungiselela kanjani ngaphambi kokuhlolwa?
Lokhu ukuhlolwa okuvame ukwenziwa esibhedlela. Awunaso isizathu sokukwesaba. Kodwa kunezinto ezimbalwa okufanele uzazi ngaphambi kokuba ukwenze.
1. Khuluma nodokotela wakho: Kufanele nakanjani utshele udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo, noma yimiphi imithi oyithathayo (ikakhulukazi imithi yokwehlisa igazi), noma yikuphi ukungezwani komzimba onakho, kanye nokuthi ukhulelwe.
2. I-Anesthesia: Lokhu kuhlolwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ngeke uzizwe ubuhlungu. Ezimweni eziningi, uzolala ngokuphelele (i-anesthesia ejwayelekile). Ngakho-ke, ngeke ukwazi ukushayela imoto wedwa ngemva kokuhlolwa. Qiniseka ukuthi uletha othile ozokuthatha akuyise ekhaya .
3. Ukudla Nokuphuza: Uzokwaziswa ukuthi ungadli noma uphuze lutho ngobusuku bangaphambi kokuhlolwa noma kuze kube yilapho udokotela ekuyala. Landela leyo miyalelo kahle.
4. Izingubo Nobucwebe: Ngosuku lokuvakashela kwakho esibhedlela, ungagqoki ubucwebe obubizayo . Gqoka izingubo ezikhululekile nezikhululekile.
Kwenzekani ngesikhathi sokuhlolwa?
Kulungile, manje ake sibheke kancane kancane ukuthi kwenzekani ngesikhathi sokuhlolwa. Ukwazi lokhu kuzokusiza unciphise ukwesaba kwakho.
- Okokuqala, isibhedlela sizokunikeza ingubo ekhethekile ongayigqoka.
- Umhlengikazi uzofaka i-cannula encane (umugqa we-IV) emthanjeni osengalweni yakho. Ngayo, bazokunikeza usawoti kanye nanoma yimiphi imithi edingekayo ukuze uphumule.
- Okulandelayo, udokotela wezinzwa uyafika akufake ngaphansi kwe-anesthesia. Ngemva kwalokho, uzolala kahle. Ngeke uzwe lutho .
- Ngemva kokuba ulele, udokotela uzofaka ithubhu elincane kakhulu elibizwa ngokuthi i-cystoscope , elinekhamera encane ekugcineni, e-urethra yakho futhi lidlule esinyeni sakho liye embotsheni ye-ureter yakho.
- Bese kuthi, ngaleyo divayisi, kudluliselwe enye ipayipi elincane kuyi-urethra, bese kufakwa idayi ekhethekile kancane kancane kuyo.
- Uma idayi isifakwe kahle, umshini we-X-ray uthatha uchungechunge lwezithombe.
- Uma kukhona okunye ukwelashwa okudingeka kwenziwe ngesikhathi esifanayo nalesi sivivinyo, njengokususa itshe, udokotela uzokwenza lokho ngokushesha. Ngaphandle kwalokho, uzosusa yonke imishini bese eqala ukukubuyisela engqondweni.
Izinto okufanele uziqaphele ngemva kokuhlolwa
Ngemva kokuphela kokuhlolwa, uzoyiswa ekamelweni elihlukile (iyunithi yokululama) ukuze uhlolwe. Abasebenzi bezokwelapha bazokunakekela uze uthole ingqondo egcwele futhi umfutho wegazi lakho kanye nokuphefumula kwakho kubuyele esimweni esijwayelekile.
- Bazoqaphela ukuthi kukhona yini igazi emchameni wakho nokuthi umchamo wakho ungakanani.
- Ngisho noma usubuyele ekhaya, uzonikezwa imiyalelo ecacile mayelana nemithi okudingeka uyithathe, okufanele uyidle nokungafanele uyidle, nokuthi kufanele uphinde ushayele udokotela ucingo nini.
- Uma isimo sakho sesiqinisekisiwe, ungaya ekhaya nomuntu oze ukuzokuthatha.
Yiziphi izinzuzo zalolu vivinyo?
| Inzuzo | Incazelo |
|---|---|
| Kufanelekela abantu abane-allergies | Ngenxa yokuthi idayi ayingeni egazini lomzimba, lokhu kuhlolwa kungenziwa ngokuphephile ngisho nangomuntu onesifo sokungezwani nodayi. |
| Ukuxilongwa kanye nokwelashwa ngesikhathi esifanayo | Uma udokotela ebona inkinga ngesikhathi sokuhlolwa, isibonelo itshe elincane, angase akwazi ukulisusa noma enze olunye ukwelashwa. |
| Izinga eliphansi lemisebe | Izinga lokuchayeka emisebeni phakathi nalolu vivinyo liphansi kakhulu. |
Ingabe ikhona ingozi?
Njenganoma yikuphi ukuhlolwa kwezokwelapha, kunezingozi ezincane kakhulu ezihilelekile, kodwa kubhekwa njengokuhlolwa okuphephile kakhulu .
- Izinkinga ezingaba khona ezihlobene nokubulala izinzwa (lezi azivamile kakhulu).
- Kunethuba elincane lokuthola izifo zomgudu womchamo (UTI).
- Kukhona ingozi encane kakhulu yokulimala kwesinye noma e-urethra ngesikhathi sokufakwa kwamathuluzi.
Kuthatha isikhathi esingakanani ukululama futhi kufanele ubonane nodokotela nini?
Ngokuvamile ungabuyela emsebenzini noma emisebenzini evamile zingakapheli izinsuku ezimbalwa. Ungadla ngendlela evamile. Kubaluleke kakhulu ukuphuza amanzi amaningi .
Uma uhlangabezana nezimpawu ezilandelayo, kufanele ushayele udokotela wakho ucingo ngokushesha .
| Isibonakaliso | Okufanele ngikwenze |
|---|---|
| Uma uba nomkhuhlane | Yazisa udokotela ngokushesha. |
| Uma ubanda futhi uthuthumela | Yazisa udokotela ngokushesha. |
| Uma unenkinga yokuchama | Yazisa udokotela ngokushesha. |
| Uma uzwa ubuhlungu obukhulu lapho uchama | Yazisa udokotela ngokushesha. |
| Uma inani legazi emchameni likhuphuka | Yazisa udokotela ngokushesha. |
Umlayezo Wokuya Nawe Ekhaya
- I-retrograde pyelogram iyisivivinyo se-X-ray esikhethekile esikuvumela ukuthi ubone ngokucacile ingaphakathi lesistimu yakho yomchamo (izinso, ama-ureter).
- Lokhu kwenziwa ngaphansi kwe-anesthesia, ngakho ngeke uzwe ubuhlungu ngesikhathi sokuhlolwa.
- Lolu vivinyo luphephile kakhulu, ngisho nakubantu abane-allergies kudayi we-X-ray.
- Landela imiyalelo kadokotela ngokucophelela ngaphambi nangemva kokuhlolwa, ikakhulukazi mayelana nokudla, iziphuzo kanye nemithi.
- Uma uba nomkhuhlane, ubuhlungu obukhulu, noma ubunzima bokuchama ngemva kokuhlolwa, yazisa udokotela wakho ngokushesha.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment